Treatment of mandibulofacial dysostosis (Treacher Collins syndrome) is lengthy and requires a multidisciplinary approach focused on treatment of symptoms.[24] In newborns with mandibulofacial dysostosis, immediate attention to airway and swallowing inadequacies is critical.[25]
In patients with severe manifestations in which airway inadequacy is the prominent feature after birth, a tracheostomy is performed (and may remain for several years, until the lower jaw has sufficiently grown or until alveolar distraction is performed to enable passage of air through the oral cavity). Otherwise, special positioning of the infant may be sufficient.
In patients with severe swallowing difficulty, introduce feeding by gavage or even through a gastrostomy tube to ensure adequate caloric intake and hydration.
Fit hearing aids shortly after birth if the patient has substantial conductive hearing loss. Hearing aids are important for the development of the infant's communication skills and for the normal bonding process within the family.
Family-to-family support has proven to be of great psychological value.